Individual provider Active NPI

Tammy L Bannister, MD

  • Family Medicine Physician
  • Hamlin, WV
National Provider Identifier
1538129010
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
18587 Issued in WV
Practice address
7400 Lynn Ave
Hamlin, WV 25523-1138
Phone
(304) 824-5806
Fax
(304) 824-5804
NPI assigned
Mar 27, 2006
Last updated
Nov 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 18587 WV Primary

Addresses

Primary practice location

7400 Lynn Ave
Hamlin, WV 25523-1138

Mailing address

7400 Lynn Ave
Hamlin, WV 25523-1138
Phone (304) 824-5806

Other identifiers 3

IdentifierTypeStateIssuer
64941651MedicaidKY
2025632MedicaidOH
0054648000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051228000176 WV Practitioner - Family Practice 6305868829 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
JC Edwards School of Medicine, Marshall University, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lincoln County Primary Care Center IncGroup PAC ID 6204821879, shared by 25 NPIs, 40 clinicians

Practice addresses (Care Compare)

1 Wildcat Way
Logan, WV 25601-3474
Phone (304) 688-9949

26 Trinity LN
Oceana, WV 24870-2600
Phone (304) 682-6246

35767 Pond Fork Rd
Wharton, WV 25208
Phone (304) 247-6202

37456 Coal River Rd
Whitesville, WV 25209-9077
Phone (304) 854-1321

471 Main St
Madison, WV 25130-1223
Phone (304) 369-5170

659 Central Ave
Barboursville, WV 25504-1313
Phone (304) 736-5247

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
18587WVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lincoln County Primary Care Center, Inc Current Accepting new patients
Lincoln County Primary Care Center, Inc. Current Accepting new patients
University Physicians & Surgeons, Inc. CurrentSince Aug 1, 1996 Accepting new patients
Lincoln County Primary Care Center, Inc. Current Accepting new patients
Lincoln County Primary Care Center, Inc. CurrentSince Jul 1, 2025 Accepting new patients
Lincoln County Primary Care Center, Inc. Current Accepting new patients
M Medical Group, Inc. CurrentSince Jun 1, 2024 Accepting new patients
Lincoln County Primary Care Center, Inc. Current Accepting new patients
Hygeia Facilities Foundation Inc Current Accepting new patients
Lincoln County Primary Care Center Inc CurrentSince Jul 1, 2025 Accepting new patients
Madison Medical, PLLC Current Accepting new patients
Lincoln County Primary Care Center, Inc. Current Accepting new patients
Lincoln County Primary Care Center Inc CurrentSince Jul 1, 2025 Accepting new patients
University Physicians & Surgeons, Inc Family Medicine CurrentSince Aug 1, 1996 Accepting new patients
M Medical Group, Inc. CurrentSince Jun 1, 2024 Accepting new patients
Lincoln County Primary Care Center Inc CurrentSince Jul 1, 2025 Accepting new patients
Lincoln County Primary Care Center Inc CurrentSince Jul 1, 2025 Accepting new patients
Lincoln County Primary Care Center, Inc. Current Accepting new patients
Lincoln County Primary Care Center, Inc Current Accepting new patients
Lincoln County Primary Care Center, Inc. CurrentSince Jul 1, 2025 Accepting new patients
Lincoln County Primary Care Center Inc PastSince Nov 21, 2021 Accepting new patients
Lincoln County Primary Care Center, Inc PastSince Mar 12, 2023 Accepting new patients

Locations

659 Central Ave
Barboursville, WV 25504
Phone (304) 691-6878

5322 McClellan Hwy
Branchland, WV 25506
Phone (304) 824-5707

506 Crawley Creek Rd
Chapmanville, WV 25508
Phone (304) 855-0245

621 Larry Joe Harless Dr
Gilbert, WV 25621
Phone (304) 664-1147

7400 Lynn Ave
Hamlin, WV 25523

1249 15th St
#4093
Huntington, WV 25701

1600 Medical Center Dr
Huntington, WV 25701
Phone (304) 691-1100

1600 Medical Center Dr
#B51
Huntington, WV 25701
Phone (304) 691-8850

1600 Medical Center Dr
Ste 3500
Huntington, WV 25701
Phone (304) 691-1300

1720 17th St
Huntington, WV 25701
Phone (304) 529-6031

1 Wildcat Way
Logan, WV 25601
Phone (304) 688-9949

122 Nick Savas Dr
Logan, WV 25601
Phone (304) 752-8081

471 Main St
Madison, WV 25130
Phone (304) 369-5170

600 E McDonald Ave
Man, WV 25635
Phone (304) 583-6541

650 E McDonald Ave
Man, WV 25635
Phone (304) 583-8585

26 Trinity Ln
Oceana, WV 24870
Phone (304) 682-6246

1563 Sand Plant Rd
South Charleston, WV 25309
Phone (304) 756-1500

37456 Coal River Rd
Whitesville, WV 25209
Phone (304) 854-1321

Interoperability endpoints

  • Direct secure messaging: tammy.bannister.1@6401.direct.athenahealth.com

Organizations & group practices 22

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 22

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1538129010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 LYNN AVE",
            "city": "HAMLIN",
            "state": "WV",
            "postal_code": "255231138",
            "telephone_number": "304-824-5806",
            "fax_number": "304-824-5885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 LYNN AVE",
            "city": "HAMLIN",
            "state": "WV",
            "postal_code": "255231138",
            "telephone_number": "304-824-5806",
            "fax_number": "304-824-5804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANNISTER",
        "first_name": "TAMMY",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-27",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "18587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64941651",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2025632",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0054648000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamlin, WV

Sources for this page

Verify at the official NPI Registry.